A LIFE WELL DRESSED COMPANY JOB APPLICATION

JOB APPLICATION
A Life Well Dressed Company Inc 1100 New Jersey Ave SE Suite 226, Washington, District Of Columbia 20003 310.894.1120

A Life Well Dressed Company Inc is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:
Applicant Name
Address

Address

Street Address Line 2

City, State and Zip CodeState / Province

Postal / Zip Code
Telephone Number
Format: (000) 000-0000.
Email Address
example@example.com
Date of Application

MonthDayYear
Date
Employment Position Applying for:
How did you hear about this position?
What days are you available for work?
What hours or shift are you available for work?
If needed, are you available to work overtime?
On what date can you start working if you are hired?

MonthDayYear
Date
Pay desired
Have you ever applied to or worked for A Life Well Dressed Company Inc before?
Yes
No
Do you have any friends, relatives, or acquaintances working for A Life Well Dressed Company Inc
Yes
No
If yes, state name & relationship
Are you 18 years of age or older?
Yes
No
Are you a U.S. citizen or approved to work in the United States?
Yes
No
What document can you provide as proof of citizenship or legal status?
Do you have any condition which would require job accommodations?
Yes
No
If yes, please describe accommodations required below.
This position requires a criminal background check. Do you give permission to A Life Well Dressed Company to authorize a background check?
Yes
No
Job Skills/Qualifications Please list below the skills and qualifications you possess for the position for which you are applying (IF RESUME IS SUBMITTED SECTION NOT NEEDED TO COMPLETE):
Please list below the skills and qualifications you possess for the position for which you are applying
(Note: A Life Well Dressed Company Inc complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions
Name
Location (City, State)
Vocational School/Specialized Training
Name
Are you a member of the Armed Services?
What branch of the military did you enlist?
What was your military rank when discharged?
How many years did you serve in the military?
What military skills do you possess that would be an asset for this position?

Previous Employment Employer Name:
Employer Name
Job Title
Supervisor Name
Employer Address: City, State and Zip Code: Employer Telephone: Dates Employed: Reason for leaving
Format: (000) 000-0000.
Address

Employer Address

Street Address Line 2

City, State and Zip CodeState / Province

Postal / Zip Code
Dates Employed

MonthDayYear
Date
Reason for leaving
Job Title
Supervisor Name
Employer Address: City, State and Zip Code: Employer Telephone: Dates Employed: Reason for leaving
Format: (000) 000-0000.
Address

Employer Address

Street Address Line 2

City, State and Zip CodeState / Province

Postal / Zip Code
Dates Employed

MonthDayYear
Date
Reason for leaving
Job Title
Employer Address: City, State and Zip Code: Employer Telephone
Format: (000) 000-0000.
Address

Employer Address

Street Address Line 2

City, State and Zip CodeState / Province

Postal / Zip Code
Dates Employed: Reason for leaving:
Dates Employed

MonthDayYear
Date
Reason for leaving
Please provide 3 personal and professional reference(s) below:
Reference
I hereby declare that all the above information is correct and accurate. I also understand that this is not a contract for employment.
Applicant Signature

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Dated

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Date
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